Most Relevant Information
Provider Data
| NPI Number: | 1003582131 |
| Provider Name: | JOHANNA ANDREA ABDULCHANI |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-21-155937 |
Most Important Dates
| Enumeration Date: | 08/18/2021 |
| Last Updated: | 05/20/2024 |
Provider Practice Location
4208 9TH ST W
LEHIGH ACRES
FL
339715026
Practice Location Phone/Fax
| Phone: | 7868997391 |
| Fax: |
Provider Mailing Location
4208 9TH ST W
LEHIGH ACRES
FL
339715026
Provider Mailing Phone/Fax
| Phone: | 7868997391 |
| Fax: |